Organization
CLIFFORD P SANDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD SANDERS (OWNER)
(803) 534-4680
Entity
Organization
Contact information
Practice address
1336 GROVE PARK DR, ORANGEBURG, SC 29115-2455
(803) 534-4680
Mailing address
1336 GROVE PARK DR, ORANGEBURG, SC 29115-2455
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
424
SC
Other
Enumeration date
02/06/2008
Last updated
07/08/2013
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